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Continuous Abdominal Wall Nerve Block, Both Sides

Virginia rates for HCPCS 64489

Numbs the nerves supplying the abdominal wall on both sides by placing fine catheters into the layer between the abdominal muscles and running local anesthetic through them continuously. Ultrasound is used to guide the needles into place when needed. Treating both sides covers pain right across the middle of the abdomen, which a one-sided block cannot reach.

Rates data updated July 2026.

How much does Continuous Abdominal Wall Nerve Block, Both Sides cost?

$407

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $115 to $3,467.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $380 · 10th to 90th $87 to $7,079Professionalmedian $513 · 10th to 90th $398 to $794
$100$200$500$1K$2K$5K$10Kfacility $380professional $513

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$3,630.78
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$208.93
Typical High
$501.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71

Where Virginia sits

The same service costs 37.2 times more in New Hampshire than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 41st of 49

$407

NH $6,026MT $162

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.